ATP-214 Midterm

Nonfaesance

(Ommission) fail to preform legal duty

informed consent

(battery) injured party has been reasonable informed of needed treatment, possible alternative treatments, and advantages and disadvantages of each course of action

Melfeasance

(commission) act is not their responsability to preform

What are the five domains of being an ATC?

1. Injury and illness preventation and wellness promotion. 2. Examination, assesment and diagnosis. 3. Immediate and emergency care. 4. Therapeutic Intervention. 5. Healthcare administration and professional responsabilities.

What are the seven componets of an EAP?

1. emergency personnel 2. communication 3. emergency equipment 4. emergency care facilities 5. transportation 6. venue location 7. documentation

what are some legal liabilities?

1. failure to warn 2. foreseeability of harm 3. assumption of risk 4. informed consent 5. refusing help 6. product liability 7. confidentiality

in what year was the Bilink - AT bible publish?

1917

In what year the NATA began without dissolving?

1950

In what year an AT was recoginized as a healthcare profession by the Amerian Medical Associatio?

1990

How long does the proliferation phase lasts?

3 days to 4-6 weeks

How long does the remodeling phase lasts?

3 weeks - 2 years

Syndrome

A group of S/S that indicate a particular injury of disease

Who is involved in an emergency situation?

ATC, physician, student athletic trainer, EMT, coaches and equipment managers

Acclimatization

Adjusting to a new range of environmental temperatures. From 7 -14 days. 5th or 6th day 80% of acclimatization can be achieved

Failure to receive information consent from athlete could result in:

Battery

What organization is responsible for awarding the ATC credential?

Board of Certification (BOC)

BOC

Board of Certification - Awards the ATC credential

Convective Heat Exchange

Body heat can be either lost or gained, depending on the temperature of the circulating medium

What does the patient feels when ice comes in contact with the skin?

CBAN (Cold, Burning, Aching, and Numbness)cold sensation 0-3 minsburning 2-7 minsnumbness 5-12 mins

What state does not required any registration?

California

Etiology

Cause of disease.

In what settings would you find an ATC?

Colleges, medical offices, pro-sports, high schools, companies, and military

Radiant Heat Exchange

Comes from sunshine and will cause increase in temperature

CAATE

Commission on Accreditation of Athletic Training Education - establishes certification to programs in AT

Negligence

Failure to provide care that is normally expected, resulting in injury to the patient. Act of omission

What are the two rights of privacy, for ligal liabilities?

HIPAA (medical records) and FIRPA (academic records)

Prognosis

Is a projected outcome.

The most effective regulatory means of protecting the public is?

Licensure

What are the three state practice governance certifications?

Licensure (higest one), Certification, and Registration

Mechanism

Mechanical description of cause (MOI).

what is the organization that recognizes and re-certifies equipment safety?

NOCSAE (not a warranty) - indicates that the equipment meets the requirements

NATA

National Atheletic Trainer Association - establishes profesionalism, education, research, and practice settings

Metabolic Heat Production

Normal metabolic function results in production of heat (will increase with intensity of exercise)

In the SOAP notes, what goes into "O"?

Objective = Observation, Palpation, and Special Test

Tort Law

Omission - fails to perform a legal duty Commission - an act that is not their duty to perform

Who could be included in the Sports Medicine Team?

PT (physical therapist), Strength and Conditioning Specialist, Team Physician, Primary Care Physician, ATC (certified athletic trainer), Dentist, Opthomolist, Orthopedist, Registered Dietician, EMT, Radiologist, Exercise Physiologist, Biochemist, and Sports Psychologist

Conductive Heat Exchange

Physical contact with other objects can result in either heat loss or heat gain

Foreseeability of harm

Recognizing a potential danger and removing the danger before an injury occurs

Indications

S/S that lead to treatment

Contradictions

S/S that show that a treatment should not be use

What is the difference from a state certification from a BOC certification?

State indicates a person possess the basic knowledge and skills requires for the profession and in some cases has pass the BOC exam.

In the SOAP notes, what goes into "S"?

Subjective = History > SAMPLE > S= OPQRST

Evaporative Heat Loss

Sweat glands in the skin allow water to be transported to the surface where it then evaporates, taking large quantities of heat with it

Who are the three main members of the Sports Medicene team?

Team Physican, Athletic Trainer, and Coach

Heat Stroke

a condition marked by fever and often by unconsciousness, caused by failure of the body's temperature-regulating mechanism when exposed to excessively high temperatures.

Misfeasance

act that it is their responsability (wrong procidure/improper manner)

Indications for Cryotherapy

acute or chronic pain, muscle spasm, postsurgical pain

What are the functions of Cryotherapy after the Inflamatory stage?

anesthisia for exercise, decrease pain spasm cycle

When does the Sports Medicine team practice the EAP?

anually

How do you treat signs of inflmation?

by using RICE or POLICE

what are some conditions that result in sudden death in sports?

cardiact event, hyperthrophic myopathy, marfan's syndrome, and aortic stenosis

Heat Exhaustion

condition resulting from exposure to heat and excessive loss of fluid through sweating

Good Samaritan Law

condition way from state to state generally immunity only when emergency fist aider acts during an emergency, in good faith, acts without expecting compensation, is not guilty of misconduct or gross negligence

Contradictions fo Cryotherapy

decrease cold sensativity, hypertension, cold allergy, Raynaud's disease, uncovered wound

What are the fuctions of Cryotherapy?

decrease temperature, reduce swelling in the inflammatory stage

What anatomical layers are being affected by Cryotherapy?

depends on the area, but Dermis and Epidermis

What happens in the proliferation phase of the healing process?

development of new tissue (osteoblast, condroblast, fibroblast)

What do you need to maintain an AT certicifation?

do 50 CEUs every 2 years (continuing educational unit's) and 10 EBP (evidence based practice) (in 2022 EBP would not be necessary)

what is the criteria required to provide Negligence?

duty, breach of duty, harm result of breach of duty

When should you adjust your EAP?

every year if necessary

Heat Syncope

fainting that occurs when the body attempts to cool itself by dilating the blood vessels

soverign immunity

government or employees can not be held negligence

What would disqualify an athlete from playing?

having a lot of heart conditions or damage paired organs

HOPS

history, observation, palpation, special tests

what are some preventions for hyperthermia?

hydration: electrolytes, gatorade

Cryotherapy Methods of Appilcation

ice packs, ice massage, ice water immersion, vapocoolant, cryokinetics

Diagnosis

identification of a disease

Product Liability

impplied warranty, expressed warrantystrict liability, NOCSAE (if injured company responsable)

Who regulates professions to protect the public from harm by unqualified individuals?

individual states

Refusing Help

individuals have the right to refuse treatment exception: increased risk for further injury

What are the three phases of the healing process?

inflammatory response, fibroblastic repair (proliferation), maturation-remodeling

How long does the inflammatory phase lasts?

injury - 4 days

Why are emergency action plans (EAP) important?

it provides a guideline for an emergency and prepares individuals for a catastrophic injury situation

What is one of the ways an AT would continue education?

learn new skills

what are some concerns for safty equipment and facilities?

materials, durability, establishment of standards manufactoring, testing methods, and requirements of use

What are the five categories of heat stress?

medabolic heat production conductive heat exchange convective heat exchange radiant heat exchange evaporative heat loss

What are the components of a medical record?

medical history, allergies, immunization, family history

What is it called when an AT commints an act that they are responsible to preform, but uses the wrong procedure?

misfaesance

Heat Cramps

muscle pain and spasm resulting from exposure to heat and inadequate fluid and salt intake

Sign

objective evidence of disease

OPQRST

onset, provocation, quality, radiation, severity, time

Failure to Warn

participant must be informed that risk of injury exist and understand the nature of that risk

what are the components of an athletic medical record?

past injuries (surgery, miss season), concussion history (diagnose), medical history, physical examination, orthopedics assessment, cardiovascular examination, maturity exam, and wellness examination

POLICE

protection, optimal loading, ice, compression, elevation

What happens in the remodeling phase of the healing process?

realignment of fiber along stress

LIability

responsability

RICE

rest, ice, compression, elevation

Confidentiality

right to privacy (HIPPA and FIRPA)

SAMPLE

signs and symptoms, allergies medication, past illneses, last oral intake, events leading to injury

Pathology

structural and functional changes that result from injury.

Symptom

subjective evidence of a disease, such as pain or a headache

SOAP

subjective, objective, assessment, plan

What is a catastrophic injury or illness?

sudden death or a life-altering physical or mental impairment

What is a Modality?

techniques or methods to help the healing process

Assumption of Risk

the individual acknowledges understanding of the risks of their participation in the activity and voluntarily chooses to participate, assuming all risks of injury or even death

What are the factors that affect rate and extent of healing?

tissues type, extent of damage, hemorrage and edma, blood supply, infection and inflammation, degreee of immobilization or mobilization, age, nutrition, fitness level, steroids, and humidity

What is the purpose of an EAP?

to provide care in a timely manner, serves as a communication tool, defines standard of care, and prevents negligent lawsuits

What happens in the inflammatory phase of the healing process?

vasodilation, increase in cappillary membrane permiability, pagocytetosis, and growth of new capillary

What do you check for in a physical examination?

vital signs, musculoskeletal exam, neurologic exam, eye exam, dental exam, gastrointestinal exam, dermatology, laboratory tests, and exams for heart disorders

Would Carditis disqulify an athlete from sport participation?

yes due to the severity of the condition